Queen's Joanna Briggs Collaboration

News & Events

Joanna Briggs Institute (JBI)
Comprehensive Systematic Review Training Workshop
Sponsored by Queen's Joanna Briggs Collaboration for Patient Safety July 8-12, 2013 Queen's University

This comprehensive, 5-day program is designed to prepare health sciences researchers, clinicians, librarians, graduate students and other individuals involved in quality and practice portfolios, to develop, conduct and report systematic review of evidence. The theme illustrating the methodology is patient safety. Cost: $1500/person, includes workshop materials, breaks, lunches and refreshments Successful participants will be certified to author JBI systematic reviews. Attendance of the entire workshop is required.

Click link for more information!

http://meds.queensu.ca/qjbc/index.php?id_mnu=13

___________________________________________________________________________

Click below to download the April 2013, JBI Matters newsletter (PDF 2.8MB)

http://www.joannabriggs.edu.au/Documents/homepage/JBI-Matters__APRIL_2013.pdf

___________________________________________________________________________

Canadian Patient Safety Week
October 29 – November 2, 2012
Ask. Listen. Talk

Room of Horrors

In celebration of Canadian Patient Safety Week we will run our 3rd annual interprofessional "Room of Horrors" event, sponsored by QJBC. The event, which will take place November 1, 2012 will be open to Nursing, Rehabilitation Therapy, Medicine students (all years), and Pharmacy residents and staff. Interprofessional teams will be challenged to identify potential safety issues in the Faculty of Health Sciences Patient Simulation Labs and participated in other patient safety focused activities. The purpose is to increase participants' awareness of patient and provider safety.

Below are last year's winners!

Overall highest score on identification of errors and word match game:

James Simpson (Medicine), Joyce Tsang (Pharmacy, KGH), & Cassandra Siemens (Nursing)

Kim Chung (Occupational Therapy), Laura Narducci (Medicine), & Kristina Sheridan (Occupational Therapy)

Most errors identified:

Linda Guo (Pharmacy) & Graeme Ross (Medicine)

Best word match:

Alana-Rae Saunders (Occupational Therapy), Brent Lovell (Occupational Therapy), & Sarah Creaser (Pharmacy)

Best solo performance:

Audrie Tong (Occupational Therapy)

About Canadian Patient Safety Week
The Canadian Patient Safety Institute launched Canadian Patient Safety Week as a national annual campaign in 2005 as part of its mandate to build and advance a safer health system for Canadians. The goal is to increase awareness of patient safety issues and share information about best practices in patient safety. The theme - Ask. Listen. Talk - promotes the importance of communication between and among patients, clients, consumers and providers and applies to all healthcare settings and sectors. Visit www.asklistentalk.ca for more information.

Room of Horrors Nov 1, 2012 List of Errors/Safety Issues

Planned Errors/Safety Issues

Communication:

Clinician assesses wound, N95 mask dangling around neck. No hand washing, no gloves, touches wound dressing. Patient's concerns not addressed. Clinician didn't
look at patient ID bracelet
Clinician assessment of wound is unclear
Patient asks "Why didn't you wash your hands?"

Mobility issues:

Wheelchair with brakes off
Walker by bedside. Missing rubber stopper. Labeled as patient #2's walker.
Mobility equipment (wheelchair, crutches) in the way of those walking through and too far for patient to reach (falls hazard)

General:

Call bell not within reach/missing
Blood spill in the bed (from an IV start)
Oozing wound
Previous pills spilled in bed
Medicine cup of pills sitting on bedside table, unlabelled and open
Cluttered environment with 02 tubing, mask on floor
Patient chart & patient ID bracelet with different names
Illegible Writing in the chart
Overflowing sharps container
Bed raised with no siderails
Laundry hamper overflowing
Uncapped needle close to patient
Unsecured IV line
Allergy noted on chart but no wrist band. Same allergic medication hanging.
NPO tag above bed, water jug on bedside table (as well as the pills from earlier)
Patient coughs, no precautions, being tested for TB
Patient in double room, another patient next door (Infection control, risk for TB)

Patient Safety Crossword Answers (Answer BOLDED)

1. One of the six domains of the Patient Safety Competencies. TEAMWORK

2. Has a part to play in patient safety. EVERYONE

3. Use this with water to wash your hands. SOAP

4. A patient on a ventilator is at risk for ventilator-associated PNEUMONIA

5. Patients should have a complete and accurate __________ list. MEDICATION

6. Good healthcare starts with good ____________. COMMUNICATION

7. Do these three things to improve communication. (Hint: Canadian
Patient Safety Week tagline) ASK LISTEN TALK

8. The slogan of Patients for Patient Safety Canada is "Every
patient _____". SAFE

Question and Answer for Patient Safety Word Match Game (Answer BOLDED)

Preventing falls and injuries from falls and preventing Venous Thromboembolism are part of this Canadian initiative: Safer Healthcare Now!

An outcome that negatively affects a patient's health and/or quality of life: Harm

Rate of preventable adverse events each year: 9,000-24,000

Healthcare associated infections kill this many people each year: 8,000-12,000

The process by which an adverse event is communicated to the patient by healthcare providers: Disclosure

The Canadian Patient Safety Institute (CPSI) is…: Building a safer health system

Use this with water to clean your hands: Soap

Often using the latest and most sophisticated technologies, this brings together educators and innovators to create an environment where healthcare professionals can learn and practice their skills: Healthcare Simulation

Recognize, respond to and disclose adverse events and Contribute
to a culture of patient safety are part of _________________: The Safety Competencies

This very simple action remains the primary measure to reduce
healthcare associated infections (HCAIs) and the spread of antimicrobial
resistance: Hand Hygiene

Name of CPSI's e-newsletter: Patient Safety Matters

Canadian Patient Safety Week tagline: Ask. Listen. Talk.

This initiatives' tool is in the form of a Checklist: Safe Surgery Saves Lives

One of six core domains of the Safety Competencies: Manage Safety Risks

Patients undergoing major surgical procedures have a substantially
increased risk of developing ______ in the days and weeks following surgery: Venous Thromboembolism (VTE)

Studies report that prompt aspirin administration results in a 15
per cent reduction in __________: Acute Myocardial Infarction (AMI)

Up to 50 % of patients residing in long-term care facilities _____
every year: Fall

A complete and accurate list of a patient's current medications:
(including name, dosage, frequency and route) Best Possible Medication History (BPMH)

CPSI's main office: Edmonton

2011 Pictures

Prize presentation: Left to right: Janice McVeety, QJBC Patient Safety Officer, James Simpson, Medicine, Linda Guo, Pharmacy KGH, Sarah Creaser, Pharmacy KGH, Laura Narducci, Medicine, Kim Chung, Occupational Therapy, Kristina Sheridan, Occupational Therapy, Kim Sears, QJBC Deputy Director/Patient Safety.

Janice McVeety, QJBC Patient Safety Officer

Tina Leung, QJBC Research Assistant & Victoria Donaldson, QJBC Project Officer

Students identify errors in the Faculty of Health Sciences Patient Simulation Lab

Students work on patient safety word match game




Home Launch Background QJBC Mandate Framework QJBC Team Our Partners Systematic Reviews Contact Us Helpful Links News & Events Systematic Review Training Admin	News & Events Joanna Briggs Institute (JBI) Comprehensive Systematic Review Training Workshop Sponsored by Queen's Joanna Briggs Collaboration for Patient Safety July 8-12, 2013 Queen's University This comprehensive, 5-day program is designed to prepare health sciences researchers, clinicians, librarians, graduate students and other individuals involved in quality and practice portfolios, to develop, conduct and report systematic review of evidence. The theme illustrating the methodology is patient safety. Cost: $1500/person, includes workshop materials, breaks, lunches and refreshments Successful participants will be certified to author JBI systematic reviews. Attendance of the entire workshop is required. Click link for more information! http://meds.queensu.ca/qjbc/index.php?id_mnu=13 ___________________________________________________________________________ Click below to download the April 2013, JBI Matters newsletter (PDF 2.8MB) http://www.joannabriggs.edu.au/Documents/homepage/JBI-Matters__APRIL_2013.pdf ___________________________________________________________________________ Canadian Patient Safety Week October 29 – November 2, 2012 Ask. Listen. Talk Room of Horrors In celebration of Canadian Patient Safety Week we will run our 3rd annual interprofessional "Room of Horrors" event, sponsored by QJBC. The event, which will take place November 1, 2012 will be open to Nursing, Rehabilitation Therapy, Medicine students (all years), and Pharmacy residents and staff. Interprofessional teams will be challenged to identify potential safety issues in the Faculty of Health Sciences Patient Simulation Labs and participated in other patient safety focused activities. The purpose is to increase participants' awareness of patient and provider safety. Below are last year's winners! Overall highest score on identification of errors and word match game: James Simpson (Medicine), Joyce Tsang (Pharmacy, KGH), & Cassandra Siemens (Nursing) Kim Chung (Occupational Therapy), Laura Narducci (Medicine), & Kristina Sheridan (Occupational Therapy) Most errors identified: Linda Guo (Pharmacy) & Graeme Ross (Medicine) Best word match: Alana-Rae Saunders (Occupational Therapy), Brent Lovell (Occupational Therapy), & Sarah Creaser (Pharmacy) Best solo performance: Audrie Tong (Occupational Therapy) About Canadian Patient Safety Week The Canadian Patient Safety Institute launched Canadian Patient Safety Week as a national annual campaign in 2005 as part of its mandate to build and advance a safer health system for Canadians. The goal is to increase awareness of patient safety issues and share information about best practices in patient safety. The theme - Ask. Listen. Talk - promotes the importance of communication between and among patients, clients, consumers and providers and applies to all healthcare settings and sectors. Visit www.asklistentalk.ca for more information. Room of Horrors Nov 1, 2012 List of Errors/Safety Issues Planned Errors/Safety Issues Communication: Clinician assesses wound, N95 mask dangling around neck. No hand washing, no gloves, touches wound dressing. Patient's concerns not addressed. Clinician didn't look at patient ID bracelet Clinician assessment of wound is unclear Patient asks "Why didn't you wash your hands?" Mobility issues: Wheelchair with brakes off Walker by bedside. Missing rubber stopper. Labeled as patient #2's walker. Mobility equipment (wheelchair, crutches) in the way of those walking through and too far for patient to reach (falls hazard) General: Call bell not within reach/missing Blood spill in the bed (from an IV start) Oozing wound Previous pills spilled in bed Medicine cup of pills sitting on bedside table, unlabelled and open Cluttered environment with 02 tubing, mask on floor Patient chart & patient ID bracelet with different names Illegible Writing in the chart Overflowing sharps container Bed raised with no siderails Laundry hamper overflowing Uncapped needle close to patient Unsecured IV line Allergy noted on chart but no wrist band. Same allergic medication hanging. NPO tag above bed, water jug on bedside table (as well as the pills from earlier) Patient coughs, no precautions, being tested for TB Patient in double room, another patient next door (Infection control, risk for TB) Patient Safety Crossword Answers (Answer BOLDED) 1. One of the six domains of the Patient Safety Competencies. TEAMWORK 2. Has a part to play in patient safety. EVERYONE 3. Use this with water to wash your hands. SOAP 4. A patient on a ventilator is at risk for ventilator-associated PNEUMONIA 5. Patients should have a complete and accurate __________ list. MEDICATION 6. Good healthcare starts with good ____________. COMMUNICATION 7. Do these three things to improve communication. (Hint: Canadian Patient Safety Week tagline) ASK LISTEN TALK 8. The slogan of Patients for Patient Safety Canada is "Every patient _____". SAFE Question and Answer for Patient Safety Word Match Game (Answer BOLDED) Preventing falls and injuries from falls and preventing Venous Thromboembolism are part of this Canadian initiative: Safer Healthcare Now! An outcome that negatively affects a patient's health and/or quality of life: Harm Rate of preventable adverse events each year: 9,000-24,000 Healthcare associated infections kill this many people each year: 8,000-12,000 The process by which an adverse event is communicated to the patient by healthcare providers: Disclosure The Canadian Patient Safety Institute (CPSI) is…: Building a safer health system Use this with water to clean your hands: Soap Often using the latest and most sophisticated technologies, this brings together educators and innovators to create an environment where healthcare professionals can learn and practice their skills: Healthcare Simulation Recognize, respond to and disclose adverse events and Contribute to a culture of patient safety are part of _________________: The Safety Competencies This very simple action remains the primary measure to reduce healthcare associated infections (HCAIs) and the spread of antimicrobial resistance: Hand Hygiene Name of CPSI's e-newsletter: Patient Safety Matters Canadian Patient Safety Week tagline: Ask. Listen. Talk. This initiatives' tool is in the form of a Checklist: Safe Surgery Saves Lives One of six core domains of the Safety Competencies: Manage Safety Risks Patients undergoing major surgical procedures have a substantially increased risk of developing ______ in the days and weeks following surgery: Venous Thromboembolism (VTE) Studies report that prompt aspirin administration results in a 15 per cent reduction in __________: Acute Myocardial Infarction (AMI) Up to 50 % of patients residing in long-term care facilities _____ every year: Fall A complete and accurate list of a patient's current medications: (including name, dosage, frequency and route) Best Possible Medication History (BPMH) CPSI's main office: Edmonton 2011 Pictures Prize presentation: Left to right: Janice McVeety, QJBC Patient Safety Officer, James Simpson, Medicine, Linda Guo, Pharmacy KGH, Sarah Creaser, Pharmacy KGH, Laura Narducci, Medicine, Kim Chung, Occupational Therapy, Kristina Sheridan, Occupational Therapy, Kim Sears, QJBC Deputy Director/Patient Safety. Janice McVeety, QJBC Patient Safety Officer Tina Leung, QJBC Research Assistant & Victoria Donaldson, QJBC Project Officer Students identify errors in the Faculty of Health Sciences Patient Simulation Lab Students work on patient safety word match game